SNF
BAYSHORE POINTE NURSING AND REHAB CENTER
CCN: 105650 · TAMPA, FL 33611 · Hillsborough County
Overview
- Address
- 3117 W GANDY BLVD, TAMPA, FL 33611
- Phone
- 8132615500
- Certified beds
- 117
- Avg daily residents
- 108 (92% of beds filled)
- Ownership
- For-profit LLC
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1989-07-01
- Setting
- Urban
3 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.73 | 3.79 | 3.80 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.86 | 0.66 | 0.88 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.67 | 0.84 | 0.68 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.20 | 2.29 | 2.24 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.53 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.20 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.40
hrs / resident / day
RN (weekend)
0.72
hrs / resident / day
Total nurse (adjusted, weekend)
3.46
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
46.0%
annual
RN turnover
53.3%
annual
Administrators departed
0
last 12 months
Resident acuity
Nursing Case-Mix Index
1.34
higher acuity than avg
Case-Mix Index Ratio
0.97
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2024-09-21 | 12 | 12 | 1 | 72 | 1 | 72 |
| Cycle 2/3 (prior) | 2022-06-23 | 14 | 9 | 5 | 88 | 1 | 88 |
Total weighted health score
76.0
lower is better
Deficiencies (33)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
32 D/E/F Actual harm — potential for minor
1 G/H/I Actual harm
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0645 | PASARR screening for Mental disorders or Intellectual Disabilities | E | 2024-09-21 | 2024-10-31 |
| 0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | E | 2024-09-21 | 2024-10-31 |
| 0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | 2024-09-21 | 2024-10-31 |
| 0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | E | 2024-09-21 | 2024-10-31 |
| 0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | 2024-09-21 | 2024-10-31 |
| 0726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | 2024-09-21 | 2024-10-31 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2024-09-21 | 2024-10-31 |
| 0773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | 2024-09-21 | 2024-10-31 |
| 0791 | Provide or obtain dental services for each resident. | D | 2024-09-21 | 2024-10-31 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2024-09-21 | 2024-10-31 |
| 0880 | Provide and implement an infection prevention and control program. | E | 2024-09-21 | 2024-10-31 |
| 0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | 2024-09-21 | 2024-10-31 |
| 0622 | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | D | 2023-09-08 | 2023-10-08 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2023-09-08 | 2023-10-08 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2023-07-11 | 2023-08-11 |
| 0697 | Provide safe, appropriate pain management for a resident who requires such services. | G | 2023-07-11 | 2023-10-08 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | 2023-07-11 | 2023-10-08 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2022-06-23 | 2022-07-23 |
| 0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2022-06-23 | 2022-07-23 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-06-23 | 2022-07-23 |
| 0760 | Ensure that residents are free from significant medication errors. | D | 2022-06-23 | 2022-07-23 |
| 0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | 2022-06-23 | 2022-07-23 |
| 0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | 2022-06-23 | 2022-07-23 |
| 0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | 2022-06-23 | 2022-07-23 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | 2022-06-23 | 2022-07-23 |
| 0880 | Provide and implement an infection prevention and control program. | D | 2022-06-23 | 2022-07-23 |
| 0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | 2021-02-26 | 2021-03-26 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2021-02-26 | 2021-03-26 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2021-02-26 | 2021-03-26 |
| 0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | 2021-02-26 | 2021-03-26 |
| 0758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | E | 2021-02-26 | 2021-03-26 |
| 0761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | 2021-02-26 | 2021-03-26 |
| 0881 | Implement a program that monitors antibiotic use. | D | 2021-02-26 | 2021-03-26 |
Penalties (5)
Fines issued
5
last 3 years
Total fines
$23,560
| Date | Type | Fine amount |
|---|---|---|
| 2023-07-11 | Fine | $3,728 |
| 2023-07-11 | Fine | $3,728 |
| 2023-07-11 | Fine | $3,728 |
| 2023-07-11 | Fine | $3,728 |
| 2023-07-11 | Fine | $8,648 |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2023)
Payer mix (share of resident days)
Medicare 20.6% Medicaid 60.3% Other 19.0%
Operating performance
Operating Margin
-18.3%
Total Margin
-18.3%
Occupancy Rate
76.3%
Cost per Resident Day
$56
Revenue & costs
Net Patient Revenue
$11.7M
Total Costs
$1.8M
Net Income
-$2.1M
Balance sheet
Total Assets
$10.6M
Total Liabilities
$10.8M
Fund Balance
-$171K
Current Ratio
0.26
Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: SOVEREIGN HEALTHCARE HOLDINGS
- Chain ID
482- Facilities in chain
- 43
- Legal business name
- SOVEREIGN HEALTHCARE OF TAMPA, LLC
Chain-average star ratings (for peer context)
Overall
3.5
Health
3.3
Staffing
3.0
QM
4.3
Owner / manager organizations (2)
| Organization | Role | Association |
|---|---|---|
| SOUTHERN HEALTHCARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | since 12/01/2003 |
| TAMPA HEALTH PROPERTIES, LTD. | 5% OR GREATER SECURITY INTEREST | since 12/01/2003 |
Owner / manager individuals (6)
| Name | Role | Association |
|---|---|---|
| CHAZHIKATTU, AMBROSE JOHN | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2016 |
| CRONQUIST, ROYCE | OPERATIONAL/MANAGERIAL CONTROL | since 02/01/2018 |
| FITZPATRICK, CYNTHIA | OPERATIONAL/MANAGERIAL CONTROL | since 10/10/2023 |
| MANGINE, JOHN | OPERATIONAL/MANAGERIAL CONTROL | since 06/25/2012 |
| MELTON, DONALD | OPERATIONAL/MANAGERIAL CONTROL | since 02/15/2009 |
| NOTERMANN, WILLIAM | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2025 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Both
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2023, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $56 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 0.26 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,023 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 60.3% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 20.6% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-2,131,347 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $11,653,299 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 76.3% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -18.3% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $10,647,083 | metrics.total_assets |
| Cost Report | Total Costs ($) | $1,817,602 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $-170,542 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $10,817,625 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -18.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.68333 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.24471 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.87526 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 3.80330 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.46092 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 107.7 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.84080 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.28509 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.66273 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.78862 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.33927 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 3.3 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 3.5 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 4.3 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 3.0 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 482 | Chain ID |
| Provider Information | Chain Name | SOVEREIGN HEALTHCARE HOLDINGS | Chain Name |
| Provider Information | City/Town | TAMPA | City/Town |
| Provider Information | CMS Certification Number (CCN) | 105650 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Hillsborough | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1989-07-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 2 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 27.8937 | Latitude |
| Provider Information | Legal Business Name | SOVEREIGN HEALTHCARE OF TAMPA, LLC | Legal Business Name |
| Provider Information | Location | 3117 W GANDY BLVD,TAMPA,FL,33611 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -82.495 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 0 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 117 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 43 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 5 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.34214 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.97422 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 3 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Limited Liability company | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 3117 W GANDY BLVD | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | BAYSHORE POINTE NURSING AND REHAB CENTER | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 280 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 72 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 1 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 12 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2024-09-21 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 72 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 12 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 9 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-06-23 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 88 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 5 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 88 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 14 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.72383 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 53.3 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.52941 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.67054 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.20267 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.19790 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.85887 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.73208 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 4 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | FL | State |
| Provider Information | Telephone Number | 8132615500 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 23560.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.39611 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 5 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 46.0 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 76.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Both | With a Resident and Family Council |
| Provider Information | ZIP Code | 33611 | ZIP Code |